Ma Form Resident ≡ Fill Out Printable PDF Forms Online

Question	Answer
Form Name	Ma Form Resident
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	massachusetts form 1 fillable pdf, massachusetts tax forms, mass income tax form 1, massachusetts form 1

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																																		Fill out in black ink.
																												For a faster refund, ﬁle your return electronically at mass.gov/dor.
																														You must also complete and enclose Schedule HC.																2019


	Massachusetts Department of Revenue
Form 1 Massachusetts Resident Income Tax Return
	TAXPAYER’S FIRST NAME							M.I.				LAST NAME																														TAXPAYER’S SOCIAL SECURITY NUMBER



	SPOUSE’S FIRST NAME							M.I.				LAST NAME																														SPOUSE’S SOCIAL SECURITY NUMBER



	MAILING ADDRESS (no. & street; apt./suite/postal box). If you have a foreign address, also complete line below.																												CITY/TOWN															STATE		ZIP



	FOREIGN PROVINCE/STATE/COUNTY																												FOREIGN COUNTRY (OR COUNTRY CODE)															FOREIGN POSTAL CODE



	Fill in if (see instructions):	Original return																						Amended return										Amended return due to federal change
	State Election Campaign Fund (this contribution will not change your tax or reduce your refund)																																		$1 Taxpayer								$1 Spouse							Total $
																																														. .	.	. . .	.

	Fill in if veteran of U.S. armed services who served in Operation Enduring Freedom, Iraqi Freedom, Noble Eagle or Sinai Peninsula. .																																									.	.		Taxpayer						Spouse
	Fill in appropriate oval(s) if taxpayer(s) is deceased. See instructions																					.	.	.	.	. .	.	. . .	. . . .	. . . .	. . .	.	. . .	. . . .	. . . .	. . .	.	. . .	. . . .	. . . .	. .	.	.		Taxpayer						Spouse
	Fill in if under age 18. See instructions	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	. .	.	. . .	. . . .	. . . .	. . .	.	. . .	. . . .	. . . .	. . .	.	. . .	. . . .	. . . .	. .	.	.		Taxpayer						Spouse

Fill in if name or address has changed since 2018. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fill in if noncustodial parent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fill in if ﬁling Schedule TDS. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 IF A LOSS, MARK AN X IN BOX

a Total federal income (from U.S. Form 1040, line 7b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a b Total federal adjusted gross income (from U.S. Form 1040, line 8b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b

1FILING STATUS. Fill in one only.

Single	Head of household (see instructions)
Married ﬁling joint return (both must sign return)	You are a custodial parent who has released claim to exemption for child(ren)

Married ﬁling separate return (must enter spouse’s name and Social Security number in the appropriate areas above)

2EXEMPTIONS

a. Personal exemptions. If single or married ﬁling separately, enter $4,400. If head of household, enter $6,800. If married ﬁling jointly, enter $8,800 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a

. . . . . .b. Number of dependents (do not include yourself or your spouse). Enclose Schedule DI			Total	× $1,000 = 2b
c. Age 65 or over before 2020	You	Spouse	Total	× $ 700 = 2c

				× $2,200 = 2d
d. Blindness	You	. . . . . .Spouse	Total

e. Medical/dental (from U.S. Schedule A, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2e

f. Adoption. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2f

g. TOTAL EXEMPTIONS. Add lines 2a through 2f. Enter here and on line 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2g

SIGN HERE. Under penalties of perjury, I declare that to the best of my knowledge and belief this return and enclosures are true, correct and complete.

YOUR SIGNATURE	DATE	SPOUSE’S SIGNATURE	DATE
	/	/	/	/
TAXPAYER’S E-MAIL ADDRESS			TAXPAYER’S PHONE

Be sure to enclose any forms or schedules (W-2, W-2G, 1099, 3K-1, SK-1, PWH or LOA) that show Massachusetts withholding.

2019 FORM 1, PAGE 2

TAXPAYER’S FIRST NAME

M.I. LAST NAME

TAXPAYER’S SOCIAL SECURITY NUMBER

	INCOME
3	Wages, salaries, tips and other employee compensation (from all Forms W-2)		.3
4	Taxable pensions and annuities. See instructions		.4
	Massachusetts bank interest	Exemption amount. If married ﬁling jointly, enter $200; otherwise enter $100.

5 a.		0	0	b.				0	0		. . . . . . . . . . . . . . . a – b (not less than 0) = 5							0	0
6 a. Business income or loss. Enclose Schedule C												.6a						0	0
6 a. Business income or loss. Enclose Schedule C								. . .	. . .	. . . . . . . . . . . . . . . . . . . . . . . . . . . . .		.6a
	b. Farming income or loss. Enclose U.S. Schedule F											6b						0	0
	b. Farming income or loss. Enclose U.S. Schedule F							. . .	. . .	. . . . . . . . . . . . . . . . . . . . . . . . . . . . .		6b
7	If you are reporting rental, royalty, REMIC, partnership, S corporation, or trust income or loss, see instructions											. 7						0	0
7												. 7
8 a. Unemployment compensation. See instructions												.	. .8a					0	0
								. . .	. . .	. . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. .
											. .
	b. Massachusetts state lottery winnings											.	. .8b					0	0
			. . .	. . . . . . .	. . .	. . .	. . .	. . .	. . .	. . .	. . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. .
												. .
9	Other income from Schedule X, line 5. Enclose Schedule X; not less than 0											. . . 9						0	0
											. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
																		0	0
10	TOTAL 5.05% INCOME. Add lines 3 through 9. Be sure to subtract any losses in lines 6 or 7											10						0	0
10												10
	DEDUCTIONS
11	DEDUCTIONS																	0	0
	a. Amount you paid to Social Security, Medicare, Railroad, U.S. or Massachusetts retirement. Not more than $2,000																. . 11a	0	0
															. . .

	b. Amount spouse paid to Social Security, Medicare, Railroad, U.S. or Massachusetts retirement. Not more than $2,000																. . 11b	0	0
															. . .	. . .


12	Child under age 13, or disabled dependent/spouse care expenses (from worksheet)														. . . 12			0	0
												. . .	. . .	. .

13	Dependent member(s) of household under age 12, or dependent(s) age 65 or over (not you or your spouse) as of December 31, 2019, or disabled dependent(s)
	(only if single, head of household or married ﬁling joint return and not claiming line 12).
															× $3,600 = 13			0	0
	a. Not more than two																	0	0
	a. Not more than two	. . .	. . . . . . .	. . .	. . .	. . .	. . .	. . .	. . .	. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14Rental deduction. Total rental deduction cannot exceed $3,000 ($1,500 if married ﬁling separately). See instructions.

	a. Total rent paid in 2019	0	0	÷ 2 = 14	0	0
	a. Total rent paid in 2019			÷ 2 = 14
15	Other deductions from Schedule Y, line 19. Enclose Schedule Y	15			0	0
15		15
16	TOTAL DEDUCTIONS. Add lines 11 through 15	16			0	0
16	TOTAL DEDUCTIONS. Add lines 11 through 15	16
17	5.05% INCOME AFTER DEDUCTIONS. Subtract line 16 from line 10. Not less than 0	17			0	0
17		17
18	Total exemption amount (from line 2g)			18	0	0
18	Total exemption amount (from line 2g)			18
19	5.05% INCOME AFTER EXEMPTIONS. Subtract line 18 from line 17. Not less than 0. If line 17 is less
19					0	0
	than line 18, see instructions	19			0	0
	than line 18, see instructions	19

20	INTEREST AND DIVIDEND INCOME (from Schedule B, line 38). Not less than 0. Enclose Schedule B	20			0	0
20		20
21	TOTAL TAXABLE 5.05% INCOME. Add lines 19 and 20	21			0	0
21	TOTAL TAXABLE 5.05% INCOME. Add lines 19 and 20	21

2019 FORM 1, PAGE 3

TAXPAYER’S FIRST NAME

M.I. LAST NAME

TAXPAYER’S SOCIAL SECURITY NUMBER

22TAX ON 5.05% INCOME (from tax table). If line 21 is more than $24,000, multiply by .0505.

Note: If choosing the optional 5.85% tax rate, ﬁll in oval and see instructions

.22

2312% INCOME (from Schedule B, line 39). Not less than 0. Enclose Schedule B.

a.									0	0	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . × .12 = 23
a.

24TAX ON LONG-TERM CAPITAL GAINS (from Schedule D, line 22). Not less than 0. Enclose Schedule D.

	If ﬁling Schedule D-IS, Installment Sales, ﬁll in oval and enclose Schedule D-IS	.24
	If excess exemptions were used in calculating lines 20, 23 or 24, ﬁll in oval and see instructions
25	Credit recapture amount. Enclose Schedule CRS. See instructions	.25
26	Additional tax on installment sales. See instructions	.26
27	If you qualify for No Tax Status, ﬁll in oval and enter 0 in line 28 (from worksheet)
28	TOTAL INCOME TAX. Add lines 22 through 26	.28
	CREDITS
29	Limited Income Credit (from worksheet)	.29
30	Income tax due to another state or jurisdiction (from worksheet). Not less than 0. Enclose Schedule OJC	.30
31	Other credits (from Schedule CMS)	.31
32	INCOME TAX AFTER CREDITS. Subtract total of lines 29 through 31 from line 28. Not less than 0	.32

33Voluntary fund contributions

a. Endangered Wildlife Conservation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33a b. Organ Transplant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33b c. Massachusetts Public Health HIV and Hepatitis Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33c d. Massachusetts U.S. Olympic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33d e. Massachusetts Military Family Relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33e f. Homeless Animal Prevention And Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33f Total. Add lines 33a through 33f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

34 Use tax due on Internet, mail order and other out-of-state purchases (from worksheet) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

35Health Care penalty. Not less than 0 (from worksheet). Enclose Schedule HC.

	a. You	0	0	b. Spouse	0	0	Total		a + b = 35
36								. . . . . . .
								. . . . . . .
	. . . . . . . . . . . . . .AMENDED RETURN ONLY. Overpayment from original return. Not less than 0. See instructions							.36
								.36
37	INCOME TAX AFTER CREDITS, CONTRIBUTIONS, USE TAX and HC PENALTY. Add lines 32 through 36							.37

0 0

2019 FORM 1, PAGE 4

TAXPAYER’S FIRST NAME

M.I. LAST NAME

TAXPAYER’S SOCIAL SECURITY NUMBER

MASSACHUSETTS WITHHOLDING, PAYMENTS AND REFUNDABLE CREDITS

38Massachusetts income tax withheld. Be sure to enclose any forms or schedules (W-2, W-2G, 2G, 1099, 3K-1, SK-1,

PWH-WA or LOA) that show Massachusetts withholding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

392018 overpayment applied to your 2019 estimated tax (from 2018 Form 1, line 48 or Form 1-NR/PY, line 52.

Do not enter 2018 refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

40	2019 Massachusetts estimated tax payments. Do not include line 39 amount																	.	40										0		0
											. . .	.	. .	. . .	. . .	. . . .	. .

41	Payments made with extension																	.	41										0		0
		. . .	. . .	.	. .	.	. . .	. . .	. . .	. . .	. . .	.	. .	. . .	. . .	. . . .	. .

42	AMENDED RETURN ONLY. Payments made with original return. Not less than 0. See instructions																		42										0		0
42																			42
43	EARNED INCOME CREDIT.
43	EARNED INCOME CREDIT.										0	0									43b × .30 = 43								0		0
	a. Number of qualifying children	b. Amount from U.S. return									0	0																	0		0
	a. Number of qualifying children	b. Amount from U.S. return													. . .	. . .	. . . .	. . .	. . .	.
	NOTE: You cannot claim the Earned Income Credit if your ﬁling status is married ﬁling separately unless you qualify for an exception (see instructions). Fill in oval if
	you qualify for this exception.

44	Senior Circuit Breaker Credit. Enclose Schedule CB																				. .44								0		0
											. .	. . .	. . .	. . . .	. . .	. . .	.

45	Other refundable credits (from Schedule CMS)																	.	45										0		0
											. .	. . .	. . .	. . . .	. .

46	Excess Paid Family Leave withholding																	.	46										0		0
		. . . . . . . . . . . . . . . . . . . .	. . .	. . .	.	. .	.	. . .	. . .	. . .	. . .	. . .	.	. .	. . .	. . .	. . . .	. .

47	TOTAL. Add lines 38 through 46																	.	47										0		0
		. . . . . . . . . . . . . . . . . . . .	. . .	. . .	.	. .	.	. . .	. . .	. . .	. . .	. . .	.	. .	. . .	. . .	. . . .	. .

48	OVERPAYMENT. If line 37 is smaller than line 47, subtract line 37 from line 47. If line 37 is larger than line 47,
48																													0		0
	go to line 51. If line 37 and line 47 are equal, enter 0 in line 50																	.	48										0		0
											. .	. . .	. . .	. . . .	. .


49	Amount of overpayment you want APPLIED to your 2020 ESTIMATED TAX																	.	49										0		0
											.	. .	. . .	. . .	. . . .	. .

50	THIS IS YOUR REFUND. Subtract line 49 from line 48.
50	THIS IS YOUR REFUND. Subtract line 49 from line 48.																					R	E	F	U	N	D		0	0
	Mail to: Massachusetts DOR, PO Box 7000, Boston, MA 02204																	.	50			R	E	F	U	N	D		0	0
											. .	. . .	. . .	. . . .	. .

	Direct deposit of refund. See instructions.																		Type of account (select one):									Checking
	Routing number (ﬁrst two digits must be 01 to 12 or 21 to 32) Account number																											Savings



51	TAX DUE. Subtract line 47 from line 37. Pay in full online at mass.gov/masstaxconnect																		51										0		0
51																			51

Or pay by mail. Make check payable to Commonwealth of Massachusetts. Write Social Security number(s) in memo section of check and be sure to sign check. Mail to: Massachusetts DOR, PO Box 7003, Boston, MA 02204.

These amounts will affect your refund or tax due:

Interest

0 0

Penalty

0 0

M-2210 amount	0	0
M-2210 amount
Exception. Enclose Form M-2210.

PRINT PAID PREPARER’S NAME	PAID PREPARER’S SSN or PTIN			PAID PREPARER’S PHONE		DATE
	/	/		(	)
PAID PREPARER’S SIGNATURE	PAID PREPARER’S EIN

Fill in if self-employed	DOR may discuss this return with the preparer		I do not want my preparer to ﬁle my return electronically

BE SURE TO SIGN RETURN ON PAGE 1 AND ENCLOSE SCHEDULE HC.

FOR PRIVACY ACT NOTICE, SEE INSTRUCTIONS.

Ma Form Resident – Fill Out and Use

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